The holder whose full name is Israel, John A.,come from Michigan City IN,hold the Temporary Psychologist Permit license(NO.99009579A) which status is Superceded.
| Name | Israel, John A. |
|---|---|
| License Number | 99009579A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Michigan City |
| State | IN |